Brent Cline DDS Pllc

NPI #1346702461 in Idaho Falls, Idaho

Provider Information

NPI Number: 1346702461
Entity Type: Organization
Organization Name: Brent Cline DDS Pllc
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 5, 2019
Last Updated: Apr 5, 2019

Practice Location

Address: 749 OXFORD DR
City: Idaho Falls
State: Idaho
ZIP Code: 83401-4203
Phone: (208) 529-0420

Authorized Official

Name: BRENT CLINE, DDS
Title: DENTIST
Phone: (208) 201-5780

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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